Organization Name: | COUNTY OF DOUGLAS |
NPI Number: | 1023166048 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PEGGY MADISON (HEALTH DEPT. ADMINISTRATOR) |
Mailing Address: | 621 W Madrone St Roseburg |
State: | OR US |
Postal Code: | 974703090 |
Phone Number: | 5414403571 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 09/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |